{"created":"2023-05-15T09:05:57.308606+00:00","id":11973,"links":{},"metadata":{"_buckets":{"deposit":"4c7b2daa-aa09-4917-a48a-63c31c677758"},"_deposit":{"created_by":15,"id":"11973","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"11973"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00011973","sets":["1674:1736:1771"]},"author_link":["16772","16773","16774","16775"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"41","bibliographicPageStart":"37","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"北海道整形外科外傷研究会会誌 = The Journal of Hokkaido Orthopaedic Traumatology Association"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"81歳女性.右人工肩関節（Solar 型）と右人工肘関節（Kudo 式）の間で上腕骨骨幹部骨折を発症し，複数回手術を要し，治療に難渋した症例の報告。初回手術は，受傷10日目に7穴LCPスモールプレートにスクリュー4本とドールマイルズケーブル3本を用いて固定，骨接合部に銀行骨を充填したが，術後5週より右肘関節近位部に疼痛出現し，X 線上，プレート遠位，TEA 上腕コンポーネントの近位端で新たな骨折が発生した。同時期に発症した胸水貯留，呼吸困難，心房細動などの内科合併症のためCCU に搬入され，約7週間の循環器科管理を要した。全身状態の改善を待って，初回手術後14週に偽関節手術を施行した。7穴ナローLCP プレートにスクリュー4本とドールマイルズケーブル3本を用い腸骨骨移植を追加した。術後10週頃から骨接合部の安定性が得られた。橈骨神経麻痺による母指以外の機能障害が残存したため，PT→ECRB，FCU→EDC の腱移行術を追加した。術後1年で右上肢機能は受傷前の状態に回復した。初回手術時に用いたプレートの長さが不十分であったため，新たな骨折を合併したと考えられる。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北海道整形外科外傷研究会"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-6083","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐久間, 隆"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平地, 一彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"奥村, 潤一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 央"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n091460832737.pdf","filesize":[{"value":"596.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832737.pdf","url":"https://sapmed.repo.nii.ac.jp/record/11973/files/n091460832737.pdf"},"version_id":"b595cf0b-6e02-46b9-b60a-fe7967420d40"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Periprosthetic fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"人工関節周辺骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Humeral fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"上腕骨骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"TSA","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"人工肩関節置換術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"TEA","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"人工肘関節置換術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"治療に難渋した人工肩・肘関節周辺骨折の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"治療に難渋した人工肩・肘関節周辺骨折の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1771"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-04-20"},"publish_date":"2011-04-20","publish_status":"0","recid":"11973","relation_version_is_last":true,"title":["治療に難渋した人工肩・肘関節周辺骨折の1例"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:42:29.901545+00:00"}